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Individual

DR. MARK ANDREW HERRMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
3320 CLINTON PARKWAY CT STE 200, LAWRENCE, KS 66047-2650
(785) 843-1188
(785) 843-1166
Mailing address
3320 CLINTON PARKWAY CT STE 200, LAWRENCE, KS 66047-2650
(785) 843-1188
(785) 843-1166

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-04252
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01-04252
STATE OF KANSAS
KS
01
017534
MEDICARE GROUP PTAN
KS
01
062196
MEDICARE PTAN
KS
01
2855
STATE OF OHIO
OH
01
CE006571
STATE OF MISSOURI
MO
01
CM00101580
NATIONAL CHIROPRACTIC MUT
KS
Enumeration date
09/21/2006
Last updated
07/24/2009
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